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Community neuro rehabilitation (Richmond)

Community neuro rehabilitation team (CNRT) is an NHS service for adults with a neurological condition who are living at home. The team works with patients and carers to help them achieve maximum independence in all aspects of daily life. Therapy is delivered to patients in the most appropriate setting, either as an outpatient at Richmond Rehabilitation Unit, or at their home or workplace setting.

Acceptance Criteria:

Adults (18 years+) registered with a Richmond GP and who have an acquired or long-term neurological condition. The main problem identified must relate to their neurological diagnosis.

CNRT is not appropriate for:

People whose primary diagnosis is:

learning difficulties

mental health problems

substance misuse

dementia (however SLT service do provide input for these patients, please see Departments & Services)

The CNRT team consists of specialist therapists and nursing (please see Departments & Services for more information):

In addition to the CNRT, there is also an Early Supported Discharge (ESD) Team based at Richmond Rehabilitation Unit. This is an intensive rehabilitation service for stroke patients to facilitate early discharge home from hospital.

Richmond Community Neuro Rehabilitation useful documents

We are highly specialised physiotherapists with experience in treating people with neurological conditions. Our assessments and treatment programmes use detailed analysis of movement and how it impacts on every day function.

The aim with all treatment programmes is to facilitate the service user to self-manage their condition as much as possible and to support care givers.

The physiotherapists are:

Erica Momcilovic

Sarah Coleman

Amber Hirons

Mike Stanner

Lynsey Sharp

Papiya De

Baljit Daffu

What we do

The key elements that we provide for patients with neurological conditions are:

Detailed and specific assessment of postural control and normal movement to include muscle flexibility, strength, tonal changes, and joint range of movement

Positioning and Posture Advice to include education on 24 hour positioning and posture to carers. This aims to maximise function and aid recovery, prevent secondary complications e.g. contractures, deformity and pressure sores.

Group Therapy

Several exercise groups are run at Richmond Rehabilitation Unit which include the General exercise class and the Balance class. The aim of these groups is to promote maintenance and/or improvement in optimal level of physical ability, support individuals through group interaction and encourage people as well as adopting a self- management approach to healthy living and exercise.

Who do we see

We see people diagnosed with a neurological disorder and who have a Richmond GP.

Who don’t we see

People whose primary problem is any of the following:

Learning disability

Mental health problem

Substance misuse

Dementia

Traumatic injury or new medical condition unrelated to their neurological condition. E.g. a fracture or pneumonia

We are a team of specialist Occupational Therapists trained to assess and treat neurological disorders:

Vicky Bruckner

Shelley Garrett

Roisin Hyde

Alison Hipkiss

What we do

Occupational Therapy (OT) provides practical support to help increase peoples independence, enabling people to do the activities (occupations) that matter to them. This could be essential everyday tasks such as looking after yourself, work or leisure.

Areas of intervention can include

Personal care tasks

Household tasks

Productivity and leisure activities, including guidance on employment and driving

Who do we seeWe see all patients registered with a Richmond GP who have a neurological condition (e.g. stroke, Parkinson’s, multiple sclerosis) and are having difficulty participating in everyday tasks.

Who do we seeWe see new stroke patients in the Early Supported Discharge Team who are registered with a Richmond GP and present with emotional, cognitive or behavioural issues that require specialist assessment and treatment.

Who don’t we see

People who require a cognitive assessment for the purpose of diagnosis e.g. dementia.

People whose difficulties are not predominantly related to their neurological condition.

Contact details

Richmond Rehabilitation Unit

Tel: 0208 614 7350Fax: 0208 332 6793

Address:

Richmond Rehabilitation Unit,22 Evelyn Road,Richmond,TW9 2TF

Opening times:

Monday to Friday. 8.30am – 5pm

Making a compliment, suggestion or complaint:

The trust’s Patient Advice and Liaison Service (PALS) provides advice and support to patients, their families and carers. It also provides on-the-spot help to sort out any problem you may have with local health services.

The 'Your Balance' DVD is aimed at patients who are at risk of falls. The film is made up of a series of guided short exercise routines for patients to work through - which will improve your strength and balance and reduce the risk of falls in future.

The Your Balance DVD 'Exercises to help prevent falls'was produced by Hounslow and Richmond Community Healthcare NHS Trust's community neuro-rehab service.